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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Grading
DONMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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PERMIT LIMIT: SEE ECDC 119.110.005W(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 C
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
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_j IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY- OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
IX DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
a NY CITY ORDINANCE Landscapelnsp. Total Amt. Due
_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A
0 NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
X1 Recording Be Receipt #
I HEREBY AC KNOWLEDGE. THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL Building Official or his/her Deputy, and Fees ire paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSAT2kW4k�RANCE AND I RCW 18:27. OFFICIALS SIG14AIURE ATE
IGNAT NE( G T): DATE SIGNED (425)
771-0220 ASED BY DATA
ATTENTION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL -FILE YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110, PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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Jan. 5, 06
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City Bank
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Attn:' Chris Sheehan
14807 Hwy 99
Lynnwood, WA. 98037
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Westgate Chapel
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Attn: Walt Adamson
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22901 Edmonds Way.
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Edmonds, WA 98020
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Re: Demolition Frozen Fund A ccount #1149-909515-008
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Demolition of 9317 228 St SW House/Garage,
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Dear Chris Sheehan.:
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The City of Edmonds hereby authorizes the release of $2,00 0.00 from theabove referenced
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Demolition Frozen Fund. A 11 interested City departments have approved the release..of the
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Demolition Frozen Fund.
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Sincerely,
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Theresa Urnbaugh
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Permit Coordinator
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LITemp/DSI"s/Masteri,ettersiltele-,tsePerrorm,,tticcO2/01
Incorporated August 11, 1890
Sister City - Hekinan, Japan